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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890449
Report Date: 07/19/2021
Date Signed: 07/19/2021 03:51:42 PM

Document Has Been Signed on 07/19/2021 03:51 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ROSEMONT EARLY EDUCATION CENTERFACILITY NUMBER:
191890449
ADMINISTRATOR:CAROL HAMPARFACILITY TYPE:
850
ADDRESS:430 NORTH ROSEMONT AVENUETELEPHONE:
(213) 413-2999
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY: 119TOTAL ENROLLED CHILDREN: 0CENSUS: 20DATE:
07/19/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:46 PM
MET WITH:Lead Teacher, Imelda Mendez TIME COMPLETED:
03:10 PM
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On July 19, 2021 at 2:46 p.m., Licensing Program Analyst (LPA) Mireya García contacted the facility and spoke to Lead Teacher, Imelda Mendez via telephone due to COVID 19 and precautionary measures in order to conduct a Case Management inspection due to an incident that was reported to the Department on May 19, 2021. The Principal was not present during this inspection. LPA Garcia discussed the purpose of the call and conducted this inspection with Lead Teacher, Imelda Mendez. At 2:57 p.m., the call was transferred into a FaceTime tele-inspection. During this tele-inspection, Lead Teacher, took LPA García on a virtual tour of the facility. There were 20 day care children present.

On May 19, 2021 an unusual incident report was made to the department regarding an incident that involved a child who sustained injury that required medical attention. The facility reported this incident to the Department within the required 24 hours. Based on information obtained during interviews conducted with staff and the parent of child in question, LPA Garcia determined that during outdoor play child was running and fell and hit their forehead on the edge of the apparatus step. Although staff was present and observed the incident, staff could not reach the child in time to prevent fall. During this tele-visit LPA did not observe any tripping hazards near or on the area where incident took place. Child was taken to the doctor and received stiches. Child has returned to day care.

REPORT CONTINUES ON NEXT PAGE 1 OF 2.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ROSEMONT EARLY EDUCATION CENTER
FACILITY NUMBER: 191890449
VISIT DATE: 07/19/2021
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Based on information obtained during this investigation, no follow up is necessary regarding the incident reported. The facility followed all proper procedures; Staff administered first aid, child’s parent was notified, incident report was sent in properly and timely and all medical needs were met. Per Lead Teacher, staff reminded children to walk and not run to prevent falls in the future.

A Notice of Site Visit was not provided to Lead Teacher, Imelda Mendez since a physical inspection was not conducted.

Exit interview was conducted with Lead Teacher, Imelda Mendez via tele-inspection, during which Appeal Rights were verbally explained to Lead Teacher. A copy of this report (LIC 809) has been signed by LPA García. This report, along with a copy of the Appeal Rights (LIC 9058) will be scanned via e-mail to Lead Teacher, Imelda Mendez, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. The facility representative was provided with the mailing address to the Monterey Park Regional Office (1000 Corporate Center Drive, Suite 200B, Monterey Park, CA 91754) and agrees to send a copy of the signed LIC 809 reports by email to LPA Garcia and mail originals forms to the office.


END OF REPORT: PAGE 2 OF 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021
LIC809 (FAS) - (06/04)
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